Gáspár L, Szabó G
Orv Hetil. 1989 Oct 8;130(41):2207-10.
The authors summarize the operative experiences performed with CO2 laser in 352 cases of oral surgery with special regard to the hemostatic effect. One of the patients suffered from hemophilia, 5 from thrombocytopenia and 5 from hypoprothrombinemia. Of the alterations to be eliminated 128 were especially inclined to hemorrhage (hemangioma, epulis, granuloma fissuratum). The operations were carried out with out-patients in local anesthesia. Due to the hemostatic effect of the laser the surgery could be performed in dry operative areas, the laser knife coagulates in the course of cutting the small vessels. Both in the group of patients with hemorrhagic diathesis and in the group of operation of alterations inclined to bleeding the experiences were highly favourable. No significant differences were found between the group of patients with hemorrhagic diathesis and other patients in the respect of the duration of operation, degree of bleeding, healing of the wound and complication. CO2 laser of high energy was found to be well applicable in the field of oral surgery owing to its excellent hemostatic effect, especially in operations where the patient or the alteration to be removed (possibly both) are disposed to bleeding.
作者总结了352例口腔外科手术中使用二氧化碳激光的手术经验，特别关注其止血效果。其中1例患者患有血友病，5例患有血小板减少症，5例患有低凝血酶原血症。在需要消除的病变中，128例特别容易出血（血管瘤、龈瘤、裂隙性肉芽肿）。手术在局部麻醉下对门诊患者进行。由于激光的止血作用，手术可以在干燥的手术区域进行，激光刀在切割小血管的过程中使血管凝固。在出血素质患者组和易于出血的病变手术组中经验都非常良好。在手术时间、出血程度、伤口愈合和并发症方面，出血素质患者组与其他患者组之间未发现显著差异。由于其出色的止血效果，高能二氧化碳激光被发现非常适用于口腔外科领域，尤其是在患者或要切除的病变（可能两者）易于出血的手术中。
